Individual
DR. MARILYN WEISBERG DEUTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
111 WYNDWOOD RD, DALTON, PA 18414-9546
(570) 563-2557
(570) 563-1325
Mailing address
111 WYNDWOOD RD, DALTON, PA 18414-9546
(570) 563-2557
(570) 563-1325
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS003709L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221987
1ST PRIORITY POS
PA
01
—
DE042473
BLUE CROSS/BLUE SHIELD
PA
Enumeration date
02/10/2006
Last updated
05/02/2012
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